01 Oct Advanced Health Assessment Nursing Patient Case – Pain

Advanced Health Assessment Nursing

Patient Case – Pain

 

Please refer to the Grading Rubric for details on how this activity will be graded.

 

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

 

Objective

 

The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning. Please read through the entire discussion instructions and example posts prior to your initial post as you will be building on the responses of your peers.

 

Initial Post

 

Report to the virtual clinic and select ONE of the occupied exam rooms. Note that each exam room has its own thread for discussion. Read the chief complaint and review any information already shared by your peers to build on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Provide scholarly support to discuss the physical assessment technique used to identify the objective finding and compare and contrast characteristics of normal and abnormal findings. Each student will copy and paste the most recent developing case to build upon their initial post. Please do not copy the scholarly support. See Example.

 

Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.

 

Virtual Clinic Exam Rooms

 

Room 1: 16yo Raena Regis reports history of headache

 

Room 2: 35yo Rhoda Regis reports right wrist pain

 

Room 3: 73yo Renata Regis reports general achiness

 

(See Response Post Instructions and Example before beginning the Discussion.)

 

Response Posts

 

Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.

 

Example – Shows a developing case and does not include required scholarly support

 

Initial Post:

 

Room 1: 72yo Ralph Regis reports intermittent abdominal pain

 

Student 1:

 

HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

Student 2:

 

HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active

 

Student 3:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ

 

Student 4:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. . Pain started three days ago after eating popcorn. Last BM two days ago.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ; LLQ dull to percussion

 

 

 

NU650 Advanced Health Assessment Nursing

 

Week 4 Discussion

 

Patient Case – Skin/Abdomen

 

Please refer to the Grading Rubric for details on how this activity will be graded.

 

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

 

Objective

 

The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning. Please read through the entire discussion instructions and example posts prior to your initial post as you will be building on the responses of your peers.

 

Initial Post

 

Report to the virtual clinic and select ONE of the occupied exam rooms. Note that each exam room has its own thread for discussion. Read the chief complaint and review any information already shared by your peers to build on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Provide scholarly support to discuss the physical assessment technique used to identify the objective finding and compare and contrast characteristics of normal and abnormal findings. Each student will copy and paste the most recent developing case to build upon their initial post. Please do not copy the scholarly support. See Example.

 

Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.

 

Virtual Clinic Exam Rooms

 

Room 1: 42yo Regina Regis reports abdominal pain

 

Room 2: 15yo Robert Regis reports nausea, vomiting, and diarrhea

 

Room 3: 22yo Rebel Regis reports a rash

 

(See Response Post Instructions and Example before beginning the Discussion.)

 

Response Posts

 

Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.

 

Example – Shows a developing case and does not include required scholarly support

 

Initial Post:

 

Room 1: 72yo Ralph Regis reports intermittent abdominal pain

 

Student 1:

 

HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

Student 2:

 

HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active

 

Student 3:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ

 

Student 4:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. . Pain started three days ago after eating popcorn. Last BM two days ago.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ; LLQ dull to percussion

 

 

 

 

 

 

 

NU650 Advanced Health Assessment Nursing

 

Week 6 Discussion

 

Patient Case – HEENT/Neck

 

Please refer to the Grading Rubric for details on how this activity will be graded.

 

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

 

Objective

 

The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning. Please read through the entire discussion instructions and example posts prior to your initial post as you will be building on the responses of your peers.

 

Initial Post

 

Report to the virtual clinic and select ONE of the occupied exam rooms. Note that each exam room has its own thread for discussion. Read the chief complaint and review any information already shared by your peers to build on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Provide scholarly support to discuss the physical assessment technique used to identify the objective finding and compare and contrast characteristics of normal and abnormal findings. Each student will copy and paste the most recent developing case to build upon their initial post. Please do not copy the scholarly support. See Example.

 

Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.

 

Virtual Clinic Exam Rooms

 

Room 1: 2yo Richie is brought to the clinic by his mother Rachel Regis for nasal congestion and tugging at his left ear

 

Room 2: 47yo Roy Regis reports history of itching and irritation around his right eye

 

Room 3: 5yo Remy is brought to the clinic by his father Raphael Regis for a sore throat

 

(See Response Post Instructions and Example before beginning the Discussion.)

 

Response Posts

 

Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.

 

Example – Shows a developing case and does not include required scholarly support

 

Initial Post:

 

Room 1: 72yo Ralph Regis reports intermittent abdominal pain

 

Student 1:

 

HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

Student 2:

 

HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active

 

Student 3:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ

 

Student 4:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. . Pain started three days ago after eating popcorn. Last BM two days ago.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ; LLQ dull to percussion

 

 

 

NU650 Advanced Health Assessment Nursing

 

Week 9 Discussion

 

Patient Case – Respiratory/Cardiac/Peripheral Vascular Systems

 

Please refer to the Grading Rubric for details on how this activity will be graded.

 

Initial Post

 

Report to the virtual clinic and select ONE of the occupied exam rooms. Build on the reported case. After the first initial post, review information already shared by your peers to continue building on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding.

 

Virtual Clinic Exam Rooms

 

Room 1: 69yo Ruby Regis reports worsening joint pain

 

Room 2: 15yo Rex Regis reports acute joint pain

 

Room 3: 75yo Randall Regis reports back pain

 

Provide scholarly support to discuss the physical assessment technique used to identify the objective finding. Compare and contrast characteristics of normal and abnormal findings. (See Response Post Instructions and Example before beginning the Discussion.)

 

Response PostsReturn to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.

 

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

 

Example Posts

 

Initial Post:

 

Room 1: 72yo Ralph Regis reports intermittent abdominal pain

 

Student 1:

 

HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

Student 2:

 

HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active

 

Student 3:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ

 

Student 4:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. . Pain started three days ago after eating popcorn. Last BM two days ago.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ; LLQ dull to percussion

 

Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.

 

 

 

NU650 Advanced Health Assessment Nursing

 

Week 11 Discussion

 

Patient Case – Musculoskeletal

 

Initial Post

 

Report to the virtual clinic and select ONE of the occupied exam rooms. Build on the reported case. After the first initial post, review information already shared by your peers to continue building on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding.

 

Virtual Clinic Exam Rooms

 

Room 1: 69yo Ruby Regis reports worsening joint pain

 

Room 2: 15yo Rex Regis reports acute joint pain

 

Room 3: 75yo Randall Regis reports back pain

 

Provide scholarly support to discuss the physical assessment technique used to identify the objective finding. Compare and contrast characteristics of normal and abnormal findings. (See Response Post Instructions and Example before beginning the Discussion.)

 

Response Posts

 

Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.

 

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

 

Example Posts

 

Initial Post:

 

Room 1: 72yo Ralph Regis reports intermittent abdominal pain

 

Student 1:

 

HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

Student 2:

 

HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active

 

Student 3:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ

 

Student 4:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. . Pain started three days ago after eating popcorn. Last BM two days ago.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ; LLQ dull to percussion

 

Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.

 

 

 

NU650 Advanced Health Assessment Nursing

 

Week 13 Discussion

 

Patient Case – GU/Neurological

 

Please refer to the Grading Rubric for details on how this activity will be graded.

 

Initial Post

 

Report to the virtual clinic and select ONE of the occupied exam rooms. Build on the reported case. After the first initial post, review information already shared by your peers to continue building on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding.

 

Virtual Clinic Exam Rooms

 

Room 1: 28yo Rebecca Regis reports burning with urination

 

Room 2: 74yo Rocky Regis reports difficulty with urination

 

Room 3: 54yo Rosalie Regis reports numbness and tingling in her feet bilaterally

 

Provide scholarly support to discuss the physical assessment technique used to identify the objective finding. Compare and contrast characteristics of normal and abnormal findings. (See Response Post Instructions and Example before beginning the Discussion.)

 

Response Posts

 

Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.

 

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

 

Example Posts

 

Initial Post:

 

Room 1: 72yo Ralph Regis reports intermittent abdominal pain

 

Student 1:

 

HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

Student 2:

 

HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active

 

Student 3:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ

 

Student 4:

 

HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. . Pain started three days ago after eating popcorn. Last BM two days ago.

 

PE: T-99.8; BP 148/86, P-84, R-16

 

ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ; LLQ dull to percussion

 

Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.

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